HomeMy WebLinkAboutHampden St. #8 - 2/9/1994Bureau of Resource Protection
WELL DRILLER
Please specify work performed:
New Well
Please specify well type:
,.Irrigation
Number Of Wells:
Well Location
In public right-of-way:
f Yes f- No,
Subdivision/Property/Description:
Property Owner:
BOSTON CEDAR
Engineering Finn:
Address at well location:
Street Number:
Street Name:
80
HAMPDEN ST
Building Lot#:
Assessor's Map #:
Assessor's Lot#:
ZIP Cade:
02048
Cityrrown:
MANSFIELD
GPS
North: West:
42.01920 ':71.23465
Mailing Address:
click here if same as well location address
Street Number:
Street Name:
80
HAMPDENST ,..
CityrTown:
State:
'.. MANSFIELD
MASSACHUSETTS
ZIP Code:
02048
Board of health permit obtained:
C Yes r Not Required'.
Permit Number:
Date Issued:
Massachusetts Department of Environmental Protection
Bureau of Resource Protection —Well Driller Program
Well Completion Reports(General)
Well Driller - General Well Form
DRILLING METHOD
Overburden
Air Hammer
Bedrock
Air Hammer
WELL LOG OVERBURDEN LITHOLOGY
From To(ft) Code
(ft)
:0 20 Clay
'..20 1 25 ,Clay
WELL LOG BEDROCK LITHOLOGY
From (ft) To(ft) Code
25 125 Shale....:.
Vb 225 Shale
225 1505 Shale
ADDITIONAL WELL INFORMATION
Developed r Yes C. No,
Drop in
Extra fast or slow Loss or addition of
Color
Comment
drill stem
drill rate
fluid
Dark Gray
FYo�
Ca Lis(
C Slow
6 Lose C Add@lojn
Dark Gray
F Yos
I-asI
C
Loss C Addition i
Visible Extra
Drop in
Extra fast or slow
Loss or addition of
Comment
Rust Large
drill stem
drill rate
fluid
Staining Chips
r_Yoc
C` f ast
C Slevr
C loss
C Ad(Mios
Ynt. Yer�
17- Yes
C asi
C Slow
C I oss
C' Additon
Yes yc;:
F Yes
C Fost
C Slow,
C Loss
Cs Ad0uon
F Yoc F Yes.
Disinfected t: Yes C No
Total Well Depth 305 Depth to Bedrock 25
Fracture
Surface Seal Type None Enhancement C Yes CO No
CASING Is Casing above ground?'.
From To Type Thickness Diameter Driveshoe
0 40 Steel 17# G C` Yes''
SCREEN',. F%0_ No Screen'.
From To Type Slot Size Diameter
Choose Screen Type---
WATER.BEARINGZONES F DRYWELL
From To Yield (gpm)
i,80 6J
140 ' 142 10
➢55 270 20
PERMANENT PUMP (IF AVAILABLE)
Massachusetts Department of Environmental Protection
Bureau of Resource Protection — Well Driller Program
Well Completion Reports(General)
Pump Description
--- Choose Pump Horsepower --- Choose Horsepower --.
',Description ---
Pump Intake Depth (ft) Nominal Pump Capacity (gpm)
ANNULAR SEAL / FILTER PACK
Water
From To Material Weight Material Weight(gal)
Batches Method Of Placement
Choose Material Choose Material -- Choose One --
WELL TEST DATA
Time Pumping Time To Recovery (ft
Date Method Yield (gpm) Pumped Level (ft Recover BGS)
(HH:MM) BGS) (HH:MM)
!, 6/1812012 Air Blow Wlth Drill Stem 35 04.00 30:i 00 02 298
WATER LEVEL
Date Measured Static Depth BGS (ft) Flowing Rate (gpm)
�6/i8l/012 15.. -35
COMMENTS
WELL DRILLERS STATEMENT
This well was drilled or altered under my direct supervision, according to the applicable rules and regulations, and this report is complete a
knowledge.
Driller JAMES BRAZEAU Registration # 173 Monitoring [M] ! Supervising Drill
Firm MIKE SULLIVAN DRILLI Rig Permit # 0016 Date Job Compl
6 '!8•l�)
NOTE: Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
33' ° anag¢ment/Division of Water Resources
Dapprimeot of Fnvironmenlal M-
WELL COMPLETION REPORT
'. GEOGRAPHIC DESCRIPTION
WELL LOCATION. a-- �/m N) S E W Of
Z p 7ii�LZ`'-'f7 U
Address l 2 J IIeeU (circlet
l t L—SE" -
City/Town 4 15 iru2 -{�.✓i i�Jrn r�(7 —
AJdre
p /Lmead)
Zzo
Well OWfCf 5 N
S E
o
-2 (l.o f
senshsl (cbclel
TI �' intersect. w/ ✓PvPleel
❑
Board of Health permit obtained: yes no
WELL DATA ft.
� t
WELL USE
Public Depth
Total well depth _.1-�----
Domestic Depth to bedrock__= — ft,
monitoring Water -bearing (ock/unconsolidated tnaterle
Method drilledDescription 'I �iT 517� d l ¢d ✓�
Date drilled 2 - Water -bearing zones: 3
3
ASIN 1) From / TO ""
7�L 2) From TO
YPe .2., in. To ,
Length _.--- ft. Dint-I.D.) 3) From %
Gravel pack well: ilia
Length into;bedrock�---ft' f
Screen: r r' ._------
Protective well seal• i t0 from—
Grout-0 1tr
L7C aa''i� Slot" .0 ength ./0
.. Uther___.------
STATICWATERLEVEL(ailwells)
Dare
Static water,level below land surface
fc, z
WELLTEST(productionwelis) gPn
min. at
Drewdown-----1t• 'pfrer pumpm9----- min
How measured_— -----
R acoVerY. ft. after—hr.
Driller.') • pL QQ
Firm
G �,ar ✓.
Address
n-1_E±' , ru l�
6itylTow
Supervising Driller Reg v"
BOARD BF HEALTH COPY